Heart 1999;82:409-410 ( October )

Editorial

The radial artery as a conduit for coronary artery bypass grafting

The first 150 words of the full text of this article appear below.

Over the past five years several groups have promoted the use of the radial artery as the second conduit of choice for coronary artery bypass grafting (CABG), after the left internal mammary artery (LIMA) and in preference to the saphenous vein. The attractions of the radial artery to the surgeon are immediate and obvious: it is a versatile conduit that can be harvested easily and safely, it has handling characteristics superior to those of other arterial grafts, and it reaches comfortably any coronary target.¹ For the patient it offers the long term prospect of superior patency compared to vein grafts^2 3 and the immediate benefit of avoiding the frequently underestimated morbidity of leg wounds.⁴

Long term patency of arterial and venous conduits

Ten years after CABG, 90% of LIMA grafts are patent and disease free while 75% of vein grafts are occluded or severely stenosed.⁵ As well as establishing the LIMA . . . [Full text of this article]

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